Frau liegt im Bett mit Grippe und putzt sich die Nase.

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Dry nasal mucosa: This helps

Dry air in winter can put a lot of strain on our nasal mucosa. Why you should take care of a dry nose, which remedies really help and when it makes sense to see a doctor.

We breathe in and out around 20,000 times a day. So it’s hardly surprising that our nose tends to dry out when the air is very dry in winter. It can then happen that the mucus-producing cells no longer keep up with production and the nose dries out. Some people experience a slight burning sensation or a crust may form. Some even experience nosebleeds.

Low humidity in heated rooms or outside in the cold is by far the most common cause of dry nasal mucous membranes. However, there are also other reasons. For example, drugs that constrict the blood vessels inhibit the cells from producing mucus. This is because the cells are supplied with less blood and therefore water secretion decreases.

“Allergies trigger an overproduction of secretions, but these tend to have an inflammatory effect. This can lead to symptoms similar to those of a dry nose.”

Michael Soyka, Head Physician of the Clinic for Ear, Nose, Throat and Facial Surgery

“Dry mucous membranes are also common after nasal surgery, due to radiotherapy or autoimmune diseases,” says Michael Soyka, Head Physician at the Department of Ear, Nose, Throat and Facial Surgery at the University Hospital Zurich. “Another not-so-rare cause is cocaine. It dries out the nasal mucosa and is very damaging to the nose.”

Allergies and colds – sprays can dry out the nose

It is often said that allergies cause dry nasal mucous membranes. But the opposite is actually the case. “Allergies trigger an overproduction of secretions, but these tend to have an inflammatory effect. This can lead to symptoms similar to those of a dry nose,” explains Soyka. The same applies to a runny nose with a cold.

If you use decongestant nasal sprays for a blocked nose and a cold, you should stop using them after a week at the latest. They constrict the blood vessels so that the swelling of the nasal mucous membranes subsides. “However, if used for too long and too frequently, the mucous membrane becomes accustomed to the active ingredients,” explains Soyka. The duration of action is becoming shorter and those affected are using such sprays more and more frequently. This impairs blood circulation and the nasal mucous membranes can become very dry and thin.

Only those who use nasal sprays with anti-inflammatory agents such as cortisone due to an allergy or chronic sinusitis, for example, should not simply stop using them. “The anti-inflammatory effect has priority here – even if you sometimes have to put up with a dry nose,” emphasizes Soyka.

Why a stressed nose needs to be cared for

If your nose dries out for a short time, this is certainly nothing to worry about. But if the dryness lasts longer, it can lead to colds or flu-like infections, among other things. This is because the nasal mucosa contains antibodies as well as antibacterial and antiviral substances. “On the one hand, it is obvious that these substances are then missing. Secondly, the cilia, which are located in the nose and remove the mucus, can no longer move properly,” says Soyka. Viruses, bacteria or even fungal spores that we breathe in through the air remain in our noses, so to speak. In addition, the lack of connection between the cells in the nose results in tiny gaps. “This is exactly where viruses, bacteria and other foreign substances can slip through more easily,” explains Soyka.

Care tips: What helps against dry mucous membranes

No question: a dry nose is unpleasant in the long term. However, there are simple care tips that can help.

  • Ointments and sprays
    “Nourishing nasal ointments from the pharmacy help best,” says Soyka. Nasal sprays with a saline solution and nourishing substances such as hyaluronic acid or dexpanthenol can also help. “However, the active ingredients remain in the nose for less time than with ointments,” he adds. Both should be used regularly and several times a day to achieve an effect.
  • Nasal showers
    Nasal showers can also help to moisturize the mucous membranes. “It is important to get a suitable and correctly mixed product from the pharmacy,” emphasizes Soyka. The ratio of water to salt must be as close as possible to that of the nasal mucosa, otherwise the nose will become unpleasantly irritated and may even dry out more. Soyka also points out that nasal irrigation does not work the same for everyone. “You should try it out and if you notice that your nose tends to dry out, it’s better to just stick with the ointment.”
  • Drink a lot?
    Whether drinking a lot can help to keep the mucous membranes moist has not yet been medically proven. “We are actually investigating the effect on the nasal mucous membranes in a master’s thesis,” says Soyka. But it certainly doesn’t hurt to drink enough fluids.

You should do without this

Soyka advises against steam baths with or without additives. The steam is usually too hot and harms the nose rather than helping it. The steam also lacks the right salt content, which tends to irritate the mucous membranes.

Humidifiers for the home or individual rooms are also rarely really useful, says Soyka: “Firstly, the constant humidity makes them a breeding ground for bacteria, viruses and fungal spores, which are then spread throughout the home with the steam. Secondly, there is a risk of mold if the humidity is too high. “The question also arises as to whether you want to buy an expensive device because of a dry nose or whether an ointment is not enough.”

When a visit to the doctor makes sense

If you cannot get rid of a dry nose despite good care, even after several months, it may be due to medication or an autoimmune disease. “In such cases, you should have this clarified,” says Soyka. On the other hand, it is not a tragedy if a nosebleed occurs. “This can happen and is not a big deal as long as it is not regular or severe,” he adds.

Michael Soyka, Prof. Dr. med.

Senior Physician, Department of Otorhinolaryngology, Head and Neck Surgery

Tel. +41 44 255 58 33
Specialties: Rhinoplasties, Defect reconstruction in the facial area, Septal perforation closures